Pathology and treatment of diseases of women . weeping stitch, extending from the peritoneum, beneaththe wound-surface through the skin border in the vulva, with a catgutbuttonhole stitch. Detachment of the vagina on the left and the rightto about half of the height of the vulva, that is about the height of the 134 DISEASES OF WOMEN openings of the ducts of the glandulae vestibulares majores, dissectingof the peritoneum pari passu, always suturing the wound-surface beforecutting, to prevent loss of blood. Division of the anterior vaginal wall,which is stretched by forcible pulling of the cervi
Pathology and treatment of diseases of women . weeping stitch, extending from the peritoneum, beneaththe wound-surface through the skin border in the vulva, with a catgutbuttonhole stitch. Detachment of the vagina on the left and the rightto about half of the height of the vulva, that is about the height of the 134 DISEASES OF WOMEN openings of the ducts of the glandulae vestibulares majores, dissectingof the peritoneum pari passu, always suturing the wound-surface beforecutting, to prevent loss of blood. Division of the anterior vaginal wall,which is stretched by forcible pulling of the cervix uteri downward, upclose to the anterior vaginal vault, detachment of the anterior vaginalwall from the anterior periphery of the circular incision upward to aboutone-half. After loosening- (peeling) of the anterior vaginal fornix fromthe cervix to the neighborhood of the bladder, the fundus of the uterusis retroflexed and delivered through the cleft in the posterior vaginalvault. The index finger of the left hand is brought forward into the. Fig. 79.—Preparation of Prolapsed Uterus, which was Extirpated with the Vagina and the Adnexal Organs. excavatio vesico-uterina and the union of the bladder and the cervix isthus marked. Opening of the plica peritonei, whose cut edge is immedi-ately united with the corresponding portion in. the circular incisionbeneath the external opening of the urethra. The suture is introducedunderneath the entire wound-surface of the anterior vaginal wall, respec-tively the bladder. Going to the right and left of this marked suture,the anterior vaginal wall is freed from the bladder and the peritoneumis incised, followed with an immediate suturing of the peritoneum to thecorresponding portion of the circular incision in the vulva partially be-fore and partially after the severing of the tissue structures. The ute-rus with its adnexa is suspended from the ligamenta lata. Detachmentof the vagina up to the pars cardinalis of the ligamenta lata. Ligatur
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Keywords: ., bookcentury1900, bookdecade1, booksubjectgynecology, bookyear1912
